Takotsubo Cardiomyopathy as a Sequela of Elective Direct-Current Cardioversion for Atrial Fibrillation

被引:8
作者
Siegfried, Jonathan S. [1 ]
Bhusri, Satjit [1 ]
Guttenplan, Nils [1 ]
Coplan, Neil L. [1 ]
机构
[1] Lenox Hill Hosp, Dept Cardiovasc Med, New York, NY 10021 USA
关键词
Cardiomyopathies/etiology; electric countershock/adverse effects; recovery of function/physiology; shock; cardiogenic/therapy; takotsubo cardiomyopathy/complications/diagnosis/etiology/physiopathology; treatment outcome; ventricular function; left/physiology; TAKO-TSUBO CARDIOMYOPATHY; ELECTROCONVULSIVE-THERAPY; BALLOONING SYNDROME;
D O I
10.14503/THIJ-12-3063
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In takotsubo cardiomyopathy, the clinical appearance is that of an acute myocardial infarction in the absence of obstructive coronary artery disease, with apical ballooning of the left ventricle. The condition is usually precipitated by a stressful physical or psychological experience. The mechanism is unknown but is thought to be related to catecholamine excess. We present the case of a 67-year-old woman who experienced cardiogenic shock caused by takotsubo cardiomyopathy, immediately after undergoing elective direct-current cardioversion for atrial fibrillation. After a course complicated by left ventricular failure, cardiogenic shock, and ventricular tachycardia, she made a complete clinical and echocardiographic recovery In addition to this case, we discuss the possible direct effect of cardioversion in takotsubo cardiomyopathy.
引用
收藏
页码:184 / 187
页数:4
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